Healthcare utilization and related costs among older people seeking primary care due to back pain: findings from the BACE-N cohort study.
back pain
epidemiology
health economics
Journal
BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874
Informations de publication
Date de publication:
20 06 2022
20 06 2022
Historique:
entrez:
20
6
2022
pubmed:
21
6
2022
medline:
23
6
2022
Statut:
epublish
Résumé
To describe healthcare utilization and estimate associated costs during 1 year of follow-up among older people seeking primary care due to a new episode back pain and to describe healthcare utilization across patients with different risk profiles stratified using the StarT Back Screening Tool (SBST). Prospective cohort study. A total of 452 people aged ≥55 years seeking Norwegian primary care with a new episode of back pain were included. The primary outcome of this study was total cost of healthcare utilization aggregated for 1 year of follow-up. Secondary outcomes included components of healthcare utilization aggregated for 1 year of follow-up. Healthcare utilization was self-reported and included: primary care consultations, medications, examinations, hospitalisation, rehabilitation stay, and operations. Costs were estimated based on unit costs collected from national pricelists. Healthcare utilization across patients with different SBST risk profiles was compared using Kruskal-Wallis test, post hoc Mann-Whitney U tests and Bonferroni adjustment. In total, 438 patients were included in the analysis. Mean (BCa 95% CI) total cost per patient over 1 year was €825 (682-976). Median (BCa 95% CI) total cost was €364 (307-440). The largest cost category was primary care consultations, accounting for 56% of total costs. Imaging rate was 34%. The most commonly used medication was paracetamol (27%-35% of patients). Medium- and high-risk patients had a significantly higher degree of healthcare utilization compared with low-risk patients (p<0.030). This study estimated a 1 year mean and median cost of healthcare utilization of €825 and €364, respectively. Patients within the top 25th percentile accounted for 77% of all costs. Patients classified as medium risk and high risk had a significantly higher degree of healthcare utilization compared with patients classified as low risk. ClinicalTrials.gov NCT04261309, results.
Identifiants
pubmed: 35725262
pii: bmjopen-2021-057778
doi: 10.1136/bmjopen-2021-057778
pmc: PMC9214384
doi:
Banques de données
ClinicalTrials.gov
['NCT04261309']
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e057778Informations de copyright
© Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
Références
BMC Med Res Methodol. 2019 Jan 9;19(1):9
pubmed: 30626343
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2013 May;56(5-6):832-44
pubmed: 23703505
BMJ. 2008 Jul 07;337:a171
pubmed: 18614473
Spine (Phila Pa 1976). 2013 Jan 1;38(1):75-82
pubmed: 23038621
Spine (Phila Pa 1976). 2006 Jan 15;31(2):212-8
pubmed: 16418643
BMJ. 2013 Feb 05;346:e5595
pubmed: 23386360
J Orthop Translat. 2021 Sep 10;32:49-58
pubmed: 34934626
J Am Coll Radiol. 2016 Sep;13(9):1069-78
pubmed: 27496288
Spine (Phila Pa 1976). 2000 Dec 15;25(24):3140-51
pubmed: 11124730
Eur J Pain. 2015 Mar;19(3):439-46
pubmed: 25381748
Fundam Clin Pharmacol. 2010 Feb;24(1):101-8
pubmed: 19678853
Lancet. 2017 Feb 18;389(10070):736-747
pubmed: 27745712
Best Pract Res Clin Rheumatol. 2002 Dec;16(5):761-75
pubmed: 12473272
Osteopath Med Prim Care. 2008 Nov 24;2:11
pubmed: 19025636
PLoS One. 2019 Nov 11;14(11):e0225125
pubmed: 31710655
Arthritis Rheum. 2009 Oct;60(10):3072-80
pubmed: 19790051
PLoS Med. 2007 Oct 16;4(10):e296
pubmed: 17941714
Eur J Pain. 2014 Feb;18(2):279-87
pubmed: 23868792
Pain. 1996 May-Jun;65(2-3):197-204
pubmed: 8826507
Spine (Phila Pa 1976). 2019 Apr 1;44(7):E423-E429
pubmed: 30234815
Phys Ther. 2017 May 01;97(5):561-570
pubmed: 28340202
Spine (Phila Pa 1976). 2006 Nov 1;31(23):2724-7
pubmed: 17077742
BMC Musculoskelet Disord. 2011 Aug 19;12:193
pubmed: 21854620
Scand J Pain. 2019 Apr 24;19(2):345-353
pubmed: 30677000
Arthritis Rheum. 2008 May 15;59(5):632-41
pubmed: 18438893
BMC Musculoskelet Disord. 2015 Apr 02;16:75
pubmed: 25887763
Arthritis Care Res (Hoboken). 2014 Aug;66(8):1220-6
pubmed: 24339263
BMJ Open. 2018 Sep 8;8(9):e023113
pubmed: 30196269
Eur J Pain. 2020 Feb;24(2):325-337
pubmed: 31566839
Spine (Phila Pa 1976). 2005 Aug 1;30(15):1777-85
pubmed: 16094281
Spine (Phila Pa 1976). 1983 Mar;8(2):141-4
pubmed: 6222486
BMC Health Serv Res. 2013 Jan 03;13:1
pubmed: 23286781
Eur Spine J. 2018 Nov;27(11):2875-2881
pubmed: 30155730
Pain. 2020 Apr;161(4):694-702
pubmed: 31738226
Spine (Phila Pa 1976). 2010 Aug 15;35(18):1714-20
pubmed: 21374895
J Eval Clin Pract. 2016 Apr;22(2):247-52
pubmed: 26417660
Phys Ther. 2016 Mar;96(3):305-12
pubmed: 26183589
Health Econ. 2003 May;12(5):377-92
pubmed: 12720255
Spine (Phila Pa 1976). 2011 Jun;36(13):1050-8
pubmed: 21150697
Eur J Pain. 2009 Mar;13(3):280-6
pubmed: 18524652
Lancet. 2011 Oct 29;378(9802):1560-71
pubmed: 21963002
Eur J Epidemiol. 1991 Jul;7(4):403-22
pubmed: 1833235
Nat Rev Dis Primers. 2018 Dec 13;4(1):52
pubmed: 30546064
Eur J Pain. 2010 Aug;14(7):747.e1-7
pubmed: 20036168
PLoS One. 2021 May 11;16(5):e0251406
pubmed: 33974661
Lancet. 2018 Jun 9;391(10137):2356-2367
pubmed: 29573870
Eur J Pain. 2021 Feb;25(2):275-295
pubmed: 33064878
BMC Musculoskelet Disord. 2012 May 03;13:64
pubmed: 22554166
Pharmacoeconomics. 2019 May;37(5):631-643
pubmed: 30746613
Pain Med. 2006 Mar-Apr;7(2):143-50
pubmed: 16634727
PLoS One. 2016 May 27;11(5):e0155982
pubmed: 27232878
Med Care. 1992 Jun;30(6):473-83
pubmed: 1593914
Rheumatol Int. 2019 Oct;39(10):1663-1679
pubmed: 31463608
Spine J. 2008 Jan-Feb;8(1):8-20
pubmed: 18164449
BMJ Open. 2021 Sep 17;11(9):e053229
pubmed: 34535487
J Clin Epidemiol. 2017 Feb;82:167-172
pubmed: 27825891
Tidsskr Nor Laegeforen. 2012 Nov 12;132(21):2388-90
pubmed: 23160588
Lancet. 2018 Jun 9;391(10137):2368-2383
pubmed: 29573872
BMJ. 2021 Jan 29;372:n104
pubmed: 33514562
Arthritis Care Res (Hoboken). 2012 Jul;64(7):1084-8
pubmed: 22337573
Eur Spine J. 2016 Sep;25(9):2788-802
pubmed: 27376890
Eur J Pain. 2007 Apr;11(3):290-8
pubmed: 16677837
Pain Med. 2013 Dec;14 Suppl 1:S43-4
pubmed: 24373111
Healthc Policy. 2014 Feb;9(3):68-79
pubmed: 24726075
Pain. 2008 Mar;135(1-2):142-50
pubmed: 17611036
BMC Musculoskelet Disord. 2006 Sep 18;7:72
pubmed: 16982001
J Pain Res. 2015 Aug 12;8:523-35
pubmed: 26316803
Int J Technol Assess Health Care. 2002 Summer;18(3):705-10
pubmed: 12391960
Pain. 2021 Mar 1;162(3):702-710
pubmed: 32868748
Pain. 1993 Feb;52(2):157-168
pubmed: 8455963
Lancet. 2018 Jun 9;391(10137):2384-2388
pubmed: 29573871
Tidsskr Nor Laegeforen. 2005 Jun 30;125(13):1794-7
pubmed: 16012543
Arthritis Rheum. 2003 Apr 15;49(2):156-63
pubmed: 12687505
Lancet. 2020 Oct 17;396(10258):1204-1222
pubmed: 33069326
Best Pract Res Clin Rheumatol. 2016 Dec;30(6):968-980
pubmed: 29103554
Bull World Health Organ. 2019 Jun 1;97(6):423-433
pubmed: 31210680
Spine (Phila Pa 1976). 1999 Sep 1;24(17):1813-9
pubmed: 10488512
Arch Phys Med Rehabil. 2018 Aug;99(8):1533-1539.e2
pubmed: 29625095
Health Econ. 2018 Jun;27(6):1024-1040
pubmed: 29573044
J Occup Environ Med. 2009 Jul;51(7):786-96
pubmed: 19528832